| NPI | 1144435694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVGENI GORIOUNOV President 973-471-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02094100) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |